Householder Application for Planning Permission to build or extension to a dwelling.

Town and Country Planning Act 1990

Publication of planning applications on council websites

Please note that with the exception of applicant contact details and Certificates of Ownership, the information provided on this application form and in supporting documents may be published on the council's website.

If you have provided any other information as part of your application which falls within the definition of personal data under the Data Protection Act which you do not wish to be published on the council's website, please contact the council's planning department.

Please complete using block capitals and black ink.

It is important that you read the accompanying guidance notes as incorrect completion will delay the processing of your application.

| 1. Applicant Name and Address | 2. Agent Name and Address | |-------------------------------|---------------------------| | **Title:** | **Title:** John F. Lomas, M.R.I.C.S., M.B.Eng | | **First name:** Mr I and Mrs M | **Last name:** | | **Last name:** Long | **Company (optional):** | | **Company (optional):** | **Company (optional):** | | **Unit:** | **Unit:** | | **House number:** | **House number:** | | **House suffix:** | **House suffix:** | | **House name:** Gnathole Farm | **House name:** | | **Address 1:** Macclesfield Road | **Address 1:** Chapel Road | | **Address 2:** Kettleshulme | **Address 2:** Hayfield | | **Address 3:** High Peak | **Address 3:** | | **Town:** | **Town:** | | **County:** | **County:** | | **Country:** Cheshire | **Country:** | | **Postcode:** SK23 7RE | **Postcode:** |

3. Description of Proposed Works

Please describe the proposed works:

Increase height of existing garage and alterations to form kitchen. 3. Description of Proposed Works (continued):

| Has the work already started? | Yes | No | |------------------------------|-----|----| | If Yes, please state when the work was started (DD/MM/YYYY): | | | | Has the work already been completed? | Yes | No | | If Yes, please state when the work was completed (DD/MM/YYYY): | | |

4. Site Address Details

| Please provide the full postal address of the application site, | |-------------------------------------------------------------| | Unit: | House number: | House suffix: | | House name: | Gnarthole Farm, | | Address 1: | Macclesfield Road, | | Address 2: | Kettleshulme, | | Address 3: | High Peak | | Town: | | | County: | chester | | Postcode (optional): | SK23 7RE |

5. Pedestrian and Vehicle Access, Roads and Rights of Way

| Is a new or altered vehicle access proposed to or from the public highway? | Yes | No | |--------------------------------------------------------------------------|-----|----| | Is a new or altered pedestrian access proposed to or from the public highway? | Yes | No | | Do the proposals require any diversions, extinguishments and/or creation of public rights of way? | Yes | No | | If Yes to any questions, please show details on your plans or drawings and state the reference number(s) of the plan(s)/drawing(s): | |

6. Pre-application Advice

| Has assistance or prior advice been sought from the local authority about this application? | Yes | No | |--------------------------------------------------------------------------------------------|-----|----| | If Yes, please complete the following information about the advice you were given. (This will help the authority to deal with this application more efficiently). Please tick if the full contact details are not known, and then complete as much possible: | | | Officer name: | Mr. Chris Smith | | Reference: | | | Date (DD MM YYYY): | 18/1/12 | | (must be pre-application submission) | | | Details of the pre-application advice received: | See enclosed letter dated 18/1/12 |

7. Trees and Hedges

| Are there any trees or hedges on your own property or on adjoining properties which are within falling distance of your boundary? | Yes | No | |-----------------------------------------------------------------------------------------------------------------|-----|----| | If Yes, please mark their position on a scaled plan and state the reference number of any plans or drawings: | | | Will any trees or hedges need to be removed or pruned in order to carry out your proposal? | Yes | No | | If Yes, please show on your plans which trees by giving them numbers e.g. T1, T2 etc, state the reference number of the plan(s)/drawing(s) and indicate the scale. | |

8. Parking

| Will the proposed works affect existing car parking arrangements? | Yes | No | |-----------------------------------------------------------------|-----|----| | If Yes, please describe: | |

9. Council Employee / Member

| Is the applicant or agent related to any member of staff or elected member of the council? | Yes | No | |------------------------------------------------------------------------------------------|-----|----| | If Yes, please provide details: | |

90cm. 2007/05/01 10:52:45 Version 1.5a

### 10. Materials

If applicable, please state what materials are to be used externally. Include type, colour and name for each material:

| | Existing (where applicable) | Proposed | Not applicable | Don't Know | Drawing references if applicable | |----------------|-----------------------------|----------|----------------|------------|---------------------------------| | **Walls** | Natural gritstone | Natural gritstone to match existing | ☐ | ☐ | | | **Roof** | Natural Stone: Slate | Natural Stone Slate to match existing (existing slates to be re-used) | ☐ | ☐ | | | **Windows** | All windows in existing house are White u.p.v.c | White u.p.v.c to match existing | ☐ | ☐ | | | **Doors** | Blue Finish u.p.v.c (this to be replaced with oak timber door) | Blue Finish u.p.v.c (re-fixed from existing external doorway) | ☐ | ☐ | | | **Boundary treatments** (e.g. fences, walls) | | | ☑ | ☐ | | | **Vehicle access and hard-standing** | | | ☑ | ☐ | | | **Lighting** | | | ☑ | ☐ | | | **Others** (please specify) | | | ☐ | ☐ | |

Are you supplying additional information on submitted plan(s)/drawing(s)/design and access statement? ☑ Yes ☐ No

If Yes, please state references for the plan(s)/drawing(s)/design and access statement:

drg no 11.12/1, 11.12/2, 11.12/3, 11.12/4 and 11.12/5, Location plan. 11. Certificates

One Certificate A, B, C, or D, must be completed, together with the Agricultural Holdings Certificate with this application form.

CERTIFICATE OF OWNERSHIP - CERTIFICATE A

Town and Country Planning (General Development Procedure) Order 1995 Certificate under Article 7

I certify: The applicant certifies that on the day 21 days before the date of this application nobody except myself/the applicant was the owner (owner is a person with a freehold interest or leasehold interest with at least 7 years left to run) of any part of the land or building to which the application relates.

Signed - Applicant: [Signature]

Or signed - Agent: [Signature]

Date (DD/MM/YYYY): 29/1/12

CERTIFICATE OF OWNERSHIP - CERTIFICATE B

Town and Country Planning (General Development Procedure) Order 1995 Certificate under Article 7

I certify: The applicant certifies that I have/the applicant has given the requisite notice to everyone else (as listed below) who, on the day 21 days before the date of this application, was the owner (owner is a person with a freehold interest or leasehold interest with at least 7 years left to run) of any part of the land or building to which this application relates.

| Name of Owner | Address | Date Notice Served | |---------------|---------|--------------------| | | | | | | | | | | | | | | | | | | | |

Signed - Applicant: [Signature]

Or signed - Agent: [Signature]

Date (DD/MM/YYYY): [Blank]

CERTIFICATE OF OWNERSHIP - CERTIFICATE C

Town and Country Planning (General Development Procedure) Order 1995 Certificate under Article 7

I certify: The applicant certifies that:

- Neither Certificate A or B can be issued for this application.
- All reasonable steps have been taken to find out the names and addresses of the other owners (owner is a person with a freehold interest or leasehold interest with at least 7 years left to run) of the land or building, or of a part of it, but I have/the applicant has been unable to do so.

The steps taken were:

Signed - Applicant: [Signature]

Or signed - Agent: [Signature]

Date (DD/MM/YYYY): [Blank]

Notice of the application has been published in the following newspaper (circulating in the area where the land is situated):

Signed - Applicant: [Signature]

Or signed - Agent: [Signature]

Date (DD/MM/YYYY): [Blank] 11. Certificates (continued)

CERTIFICATE OF OWNERSHIP - CERTIFICATED

Town and Country Planning (General Development Procedure) Order 1995 Certificate under Article 7

I certify that the applicant certifies that:

- Certificate A cannot be issued for this application
- All reasonable steps have been taken to find out the names, and addresses of everyone else who, on the day 21 days before the date of this application, was the owner (owner is a person with a freehold interest or leasehold interest with at least 7 years left to run) of any part of the land to which this application relates, but I have/ the applicant has been unable to do so.

The steps taken were:

Notice of the application has been published in the following newspaper:

On the following date (which must not be earlier than 21 days before the date of the application):

Signed - Applicant: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Or signed - Agent: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Date (DD/MM/YYYY): \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

AGRICULTURAL HOLDINGS CERTIFICATE

Town and Country Planning (General Development Procedure) Order 1995 Certificate under Article 7

Agricultural Land Declaration - You Must Complete Either A or B

(A) None of the land to which the application relates is, or is part of, an agricultural holding.

Signed - Applicant: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Or signed - Agent: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Date (DD/MM/YYYY): \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

B) I have/ The applicant has given the requisite notice to every person other than myself/ the applicant who, on the day 21 days before the date of this application, was a tenant of an agricultural holding on all or part of the land to which this application relates, as listed below:

| Name of Tenant | Address | Date Notice Served | |----------------|---------|--------------------| | None | | |

Signed - Applicant: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Or signed - Agent: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Date (DD/MM/YYYY): 29/1/12

12. Planning Application Requirements Checklist:

Please read the following checklist to make sure you have sent all the information in support of your proposal. Failure to submit all information required will result in your application being deemed invalid. It will not be considered valid until all information required by the Local Planning Authority has been submitted.

- 3 copies of a completed and dated application form:
- 3 copies of a design and access statement where proposed works fall within one of the following designated areas:
  - National Park
  - Site of special scientific interest
  - Conservation area
  - Area of outstanding natural beauty
  - World Heritage Site
  - The Broads

The correct fee:

- 3 copies of the completed, dated Article 7 Certificate (Agricultural Holdings):
- 3 copies of the completed, dated Ownership Certificate (A, B, C or D - as applicable):

13. Declaration

We hereby apply for planning permission/consent as described in this form and the accompanying plans/drawings and additional information.

Signed - Applicant: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Or signed - Agent: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Date (DD/MM/YYYY): 29/1/12

(date cannot be pre-application)

### 14. Applicant Contact Details

| Country code | National number | Extension number | |--------------|-----------------|------------------| | | | |

| Country code | Mobile number (optional): | |--------------|--------------------------| | | |

| Country code | Fax number (optional): | |--------------|-----------------------| | | |

Email address (optional):

### 15. Agent Contact Details

| Country code | National number | Extension number | |--------------|-----------------|------------------| | | 01663 745186 | |

| Country code | Mobile number (optional): | |--------------|--------------------------| | | |

| Country code | Fax number (optional): | |--------------|-----------------------| | | |

Email address (optional):

### 16. Site Visit

Can the site be seen from a public road, public footpath, bridleway or other public land?

- [ ] Yes
- [x] No

If the planning authority needs to make an appointment to carry out a site visit, whom should they contact? (Please select only one)

- [x] Agent
- [ ] Applicant
- [ ] Other (if different from the agent/applicant's details)

If Other has been selected, please provide:

- Contact name:
- Telephone number:
- Email address: